Individual
DR. JOSEPH DOMINIC MANGONE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O., M.P.H.
Contact information
Practice address
1919 E THOMAS RD, PHOENIX, AZ 85016-7710
(602) 933-0777
(602) 933-0755
Mailing address
3200 E CAMELBACK RD, STE 250, PHOENIX, AZ 85018-2327
(602) 933-1814
(602) 933-1820
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
163WP0200X
AZ
208M00000X
Hospitalist Physician
Primary
005804
AZ
Other
Enumeration date
09/30/2009
Last updated
01/17/2018
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